Organization
HANOVER FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSEB KYLE CAVENDER EMT (TRAINING OFFICER)
(719) 251-6315
Entity
Organization
Contact information
Practice address
13325 OLD PUEBLO ROAD, FOUNTAIN, CO 80817
(719) 382-1900
Mailing address
13325 OLD PUEBLO ROAD, FOUNTAIN, CO 80817
(719) 382-1900
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
15-019
CO
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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